Can endometrial polyps heal by themselves?

Written by Wang Jing Hua

Obstetrics and Gynecology

Updated on January 20, 2025

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Some endometrial polyps are self-healing, so not all endometrial polyps require surgical treatment. This is often because endometrial polyps are related to recent endocrine states, and some can be managed with hormonal medications, while others may be expelled during a menstrual period. Therefore, if the endometrial polyp does not cause any symptoms, such as abnormal bleeding, impact on pregnancy, or is large enough to cause infertility, it is possible to observe regularly without immediate diagnostic curettage surgery.

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Written by Zhao Li Li

Obstetrics

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What should not be eaten with endometrial polyps?

Under normal circumstances, after confirming the presence of endometrial polyps, further examinations and treatments are still required. Generally, endometrial polyps can easily lead to abnormalities in menstrual cycle or menstrual volume, and may also stimulate the occurrence of local vaginal inflammation. Therefore, it is necessary to follow a light and nutritious diet, avoid spicy and stimulating foods, get plenty of rest, avoid excessive fatigue, and ensure thorough cleanliness of the vulva. If the endometrial polyps persist and are large, it is recommended to undergo hysteroscopic surgery for targeted treatment and complete removal of the endometrial polyps.

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Written by Sun Shan Shan

Obstetrics and Gynecology

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Can endometrial polyps heal by themselves?

Firstly, endometrial polyps cannot heal on their own. There are many causes of endometrial polyps, one being excessive levels of estrogen in the body; another is long-term gynecological inflammation stimulation, such as from abortions or childbirth surgical procedures, which can lead to the formation of endometrial polyps; furthermore, high blood pressure and obesity are also high-risk factors for endometrial polyps. Therefore, once endometrial polyps occur, this condition cannot heal on its own. It requires a hysteroscopic examination three to seven days after menstruation has ended to confirm if it is indeed an endometrial polyp. If confirmed as an endometrial polyp, further hysteroscopic endometrial polypectomy is needed, followed by further pathological examination after the surgery.

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Written by Liu Jian Wei

Obstetrics and Gynecology

42sec

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Can endometrial polyps recur?

Endometrial polyps are a common gynecological condition. Generally, when detected, endometrial polyps need to be surgically removed. After treatment, there is still a chance of recurrence of endometrial polyps, although the chance is not particularly high. Some patients may have a higher chance of recurrence, which varies from person to person. If endometrial polyps recur, further surgical treatment may be necessary. Under normal circumstances, oral medication can be administered post-surgery to help possibly prevent the recurrence of endometrial polyps. (Please use medication under the guidance of a doctor.)

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Written by Shen Li Wen

Obstetrics and Gynecology

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Symptoms of endometrial polyp malignancy

When endometrial polyps in women undergo malignant transformation, it can lead to a large amount of vaginal discharge. This discharge may be accompanied by a foul odor, which could possibly be due to an associated infection. Additionally, when endometrial polyps undergo malignant transformation and form tumors, their growth rate accelerates, and the blood supply may not meet the growth needs of the polyps. This may lead to localized ulceration and bleeding, causing women to experience irregular vaginal bleeding. This bleeding can manifest as blood streaks in vaginal discharge or as persistent vaginal bleeding. As the tumor gradually enlarges, it increases the pressure in the uterine cavity, leading to abdominal pain in some women.

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Written by Hou Jie

Obstetrics and Gynecology

48sec

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Benign characteristics of endometrial polyps

If a woman is diagnosed with endometrial polyps, then the condition is benign. If there are symptoms such as irregular vaginal bleeding, increased menstrual flow, or prolonged menstruation, endometrial polyps should be considered. It is advised to undergo diagnostic curettage or hysteroscopic endometrial polyp electrosurgical resection, and the removed tissue should be sent for pathological examination. Whether it is benign or malignant is mainly determined by the pathological examination as the final diagnostic basis. If confirmed as endometrial polyps, then it is benign. If precancerous lesions are present or if it is confirmed as malignant tumor, the case will be described in detail.